GUAIFENESIN 500MG/PSEUDOEPHEDRINE 120MG TAB,SA (4865) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 500MG/PSEUDOEPHEDRINE 120MG TAB,SA
VA GENERIC NAME	GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 120 UNITS: MG GUAIFENESIN STRENGTH: 500 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-01-08 00:00:00
DSS NUMBER	14
NATIONAL FORMULARY NAME	GUAIFENESIN/PSEUDOEPHEDRINE TAB,SA
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	GUAIFENESIN 500MG/P-EPHED 120MG SA TAB
VA PRODUCT IDENTIFIER	G0293
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4005407
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-01-08 00:00:00 STATUS: INACTIVE